Adrienne J K Carmack, MD in Longview, TX

Adrienne J K Carmack, MD is a medicare enrolled "Urology" physician in Longview, Texas. Her current practice location is 703 E Marshall Ave, Suite 5007, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 315-4455.

Adrienne J K Carmack is licensed to practice in Texas (license number N1275) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346430527.

Contact Information

	Adrienne J K Carmack, MD
	703 E Marshall Ave, Suite 5007, Longview, TX 75601-5500
	(903) 315-4455
	(903) 315-2466

Map and Direction

Physician's Profile

Full Name	Adrienne J K Carmack
Gender	Female
Speciality	Urology
Location	703 E Marshall Ave, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346430527
Provider Enumeration Date: 07/25/2007
Last Update Date: 07/23/2015

Medicare PECOS Information:

PECOS PAC ID: 1850475070
Enrollment ID: I20090223000095

Medical Identifiers

Medical identifiers for Adrienne J K Carmack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346430527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	N1275 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adrienne J K Carmack allows following entities to bill medicare on her behalf.

Entity Name	East Texas Functional Medicine Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245847672 PECOS PAC ID: 7911319496 Enrollment ID: O20201208001745

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adrienne J K Carmack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adrienne J K Carmack, MD Po Box 731218, Dallas, TX 75373-1218 Ph: (903) 315-4119	Adrienne J K Carmack, MD 703 E Marshall Ave, Suite 5007, Longview, TX 75601-5500 Ph: (903) 315-4455

Reviews and Comments

Urology Doctors in Longview, TX

Dr. Paul Brian Williams, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr, Longview, TX 75605 Phone: 903-757-7871 Fax: 903-753-2479
Landon Taylor Erickstad, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr Ste 400, Longview, TX 75605 Phone: 903-757-7871 Fax: 903-753-2479
Dr. John M Ferrell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601 Phone: 903-757-7871 Fax: 903-753-2479
Gid Roger Johnson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1608 Sweetbriar St, Longview, TX 75604 Phone: 903-297-6000 Fax: 903-297-6250
Dr. Gregory Ashton Edwards, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr, Suite 400, Longview, TX 75605 Phone: 903-757-7871 Fax: 903-753-2479
Dr. Timothy W Howes, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601 Phone: 903-757-7871 Fax: 903-753-2479

Adrienne J K Carmack, MD - Medicare Urology in Longview, TX